Use of a Modified Transhepatic Rendezvous Technique for Stenting of Malignant Biliary Obstruction in 2 Cats
ABSTRACT We describe the successful treatment of biliary duct obstruction (BDO) secondary to biliary carcinoma involving the bile duct, cystic duct, and intrahepatic ducts in two adult domestic shorthair cats using a novel technique. Both cats presented with marked hyperbilirubinemia, increased live...
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| Format: | Article |
| Language: | English |
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Wiley
2025-07-01
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| Series: | Journal of Veterinary Internal Medicine |
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| Online Access: | https://doi.org/10.1111/jvim.70178 |
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| author | Robin Doherty Allyson C. Berent Chick Weisse |
| author_facet | Robin Doherty Allyson C. Berent Chick Weisse |
| author_sort | Robin Doherty |
| collection | DOAJ |
| description | ABSTRACT We describe the successful treatment of biliary duct obstruction (BDO) secondary to biliary carcinoma involving the bile duct, cystic duct, and intrahepatic ducts in two adult domestic shorthair cats using a novel technique. Both cats presented with marked hyperbilirubinemia, increased liver enzyme activities, and ultrasonographic evidence of BDO secondary to neoplasia. One cat previously had undergone cholecystoduodenostomy, with recurrence of BDO. Both cats were treated using a transhepatic biliary rendezvous procedure, in which a hybrid interventional radiological approach was used to place a self‐expanding metallic stent into the left intrahepatic duct, into the common bile or cystic duct, and into the duodenum, relieving the obstruction. In both cases, BDO resolved at time of last follow‐up. This technique offers an alternative to traditional surgical or interventional options for biliary decompression, particularly in cases of diffuse malignant biliary obstruction where access to the common bile duct (CBD) is challenging. |
| format | Article |
| id | doaj-art-6c0004d67aff4df5ba8f80d07c753e78 |
| institution | DOAJ |
| issn | 0891-6640 1939-1676 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Veterinary Internal Medicine |
| spelling | doaj-art-6c0004d67aff4df5ba8f80d07c753e782025-08-20T03:09:35ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762025-07-01394n/an/a10.1111/jvim.70178Use of a Modified Transhepatic Rendezvous Technique for Stenting of Malignant Biliary Obstruction in 2 CatsRobin Doherty0Allyson C. Berent1Chick Weisse2Department of Interventional Radiology and Endoscopy/Internal Medicine Schwarzman Animal Medical Center New York New York USADepartment of Interventional Radiology and Endoscopy Schwarzman Animal Medical Center New York New York USADepartment of Interventional Radiology and Endoscopy Schwarzman Animal Medical Center New York New York USAABSTRACT We describe the successful treatment of biliary duct obstruction (BDO) secondary to biliary carcinoma involving the bile duct, cystic duct, and intrahepatic ducts in two adult domestic shorthair cats using a novel technique. Both cats presented with marked hyperbilirubinemia, increased liver enzyme activities, and ultrasonographic evidence of BDO secondary to neoplasia. One cat previously had undergone cholecystoduodenostomy, with recurrence of BDO. Both cats were treated using a transhepatic biliary rendezvous procedure, in which a hybrid interventional radiological approach was used to place a self‐expanding metallic stent into the left intrahepatic duct, into the common bile or cystic duct, and into the duodenum, relieving the obstruction. In both cases, BDO resolved at time of last follow‐up. This technique offers an alternative to traditional surgical or interventional options for biliary decompression, particularly in cases of diffuse malignant biliary obstruction where access to the common bile duct (CBD) is challenging.https://doi.org/10.1111/jvim.70178bile duct rupture/obstructionbiliary rendezvousbiliary stentgastroenterologyhepatologymalignant biliary obstruction |
| spellingShingle | Robin Doherty Allyson C. Berent Chick Weisse Use of a Modified Transhepatic Rendezvous Technique for Stenting of Malignant Biliary Obstruction in 2 Cats Journal of Veterinary Internal Medicine bile duct rupture/obstruction biliary rendezvous biliary stent gastroenterology hepatology malignant biliary obstruction |
| title | Use of a Modified Transhepatic Rendezvous Technique for Stenting of Malignant Biliary Obstruction in 2 Cats |
| title_full | Use of a Modified Transhepatic Rendezvous Technique for Stenting of Malignant Biliary Obstruction in 2 Cats |
| title_fullStr | Use of a Modified Transhepatic Rendezvous Technique for Stenting of Malignant Biliary Obstruction in 2 Cats |
| title_full_unstemmed | Use of a Modified Transhepatic Rendezvous Technique for Stenting of Malignant Biliary Obstruction in 2 Cats |
| title_short | Use of a Modified Transhepatic Rendezvous Technique for Stenting of Malignant Biliary Obstruction in 2 Cats |
| title_sort | use of a modified transhepatic rendezvous technique for stenting of malignant biliary obstruction in 2 cats |
| topic | bile duct rupture/obstruction biliary rendezvous biliary stent gastroenterology hepatology malignant biliary obstruction |
| url | https://doi.org/10.1111/jvim.70178 |
| work_keys_str_mv | AT robindoherty useofamodifiedtranshepaticrendezvoustechniqueforstentingofmalignantbiliaryobstructionin2cats AT allysoncberent useofamodifiedtranshepaticrendezvoustechniqueforstentingofmalignantbiliaryobstructionin2cats AT chickweisse useofamodifiedtranshepaticrendezvoustechniqueforstentingofmalignantbiliaryobstructionin2cats |